Surgical Procedures

By | April 2, 2015

Incisions for some surgical procedures such as Micro Lumbar Discectomy can be as small as 1 inch.

Incisions for some surgical procedures such as Micro Lumbar Discectomy can be as small as 1 inch.

Having discussed most of the common causes of axial and radicular back pain, I would like to turn our attention to surgical management. Surgical procedures to treat lower back pain form an extremely diverse set starting with short (30 minutes) outpatient procedures like Micro Lumbar Discectomy to extensive spinal reconstructions and fusions taking many hours to complete and requiring lengthy hospitalizations. We will discuss the more common procedures in detail, then turn our attention to acute surgical morbidity and mortality and finally discuss long-term complications associated with a variety of spinal procedures. It is only at this point that we will be ready for a discussion, similar to those that occur every day at Schlesinger Pain Centers, of the advisability of surgical intervention for a hypothetical patient.  The recurring theme will be that in general small procedures work better than large ones and that more accurately the problem can be localized preoperatively and the more focused the dissection the faster the recovery and the lower the rate of complication.


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